Using medical birth registries in the Kola Peninsula for birth defects surveillance and investigation of their risk factors
Medical birth registries are valuable sources of information about maternal and newborn’s health. In North-West Russia the registries were initiated in 1997 in the city of Monchegorsk and for all of Murmansk County in 2005. In this thesis we demonstrated the effectiveness of these data sources for s...
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UiT The Arctic University of Norway
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ftunivtroemsoe:oai:munin.uit.no:10037/10013 2023-05-15T17:05:04+02:00 Using medical birth registries in the Kola Peninsula for birth defects surveillance and investigation of their risk factors Postoev, Vitaly Alexandrovich 2016-11-18 https://hdl.handle.net/10037/10013 eng eng UiT The Arctic University of Norway UiT Norges arktiske universitet ISM skriftserie; 171 https://hdl.handle.net/10037/10013 openAccess Copyright 2016 The Author(s) VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 VDP::Medical disciplines: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803 VDP::Medisinske Fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Pediatrics: 760 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Pediatri: 760 DOKTOR-003 Doctoral thesis Doktorgradsavhandling 2016 ftunivtroemsoe 2023-02-23T00:04:25Z Medical birth registries are valuable sources of information about maternal and newborn’s health. In North-West Russia the registries were initiated in 1997 in the city of Monchegorsk and for all of Murmansk County in 2005. In this thesis we demonstrated the effectiveness of these data sources for surveillance of birth defects with the following objectives: (i) estimated changes in prevalence of birth defects during forty-year period, (ii) identified effect of ultrasound screening during pregnancy, (iii) defined factors which associated with urinary malformations. Our study with data from 1973 to 2011 showed that the prevalence of birth defects demonstrated a two-fold increase, and the initiation of prenatal ultrasound screening was the most likely reason for such changes. The initiation of the screening was also the main reason for the decline in perinatal mortality among newborns with birth defects, primary due to prenatal detection of severe malformations with subsequent terminations of such pregnancies. Moreover, the mothers who had undergone at least one ultrasound examination during pregnancy had a decreased risk of having a newborn die during the first week of life. Congenital anomalies of the kidney and the urinary tract showed the highest increase in prevalence during 1973-2011. During pregnancy, use of medications, infections, diabetes were associated with increased risk of this group of anomalies, as was conception during summer. The medical birth registries in Murmansk County constitute powerful sources for birth defects surveillance and the investigation of risk factors. Combination of these registries with existed system of monitoring birth defects and mandatory registration of pregnancy terminations can increase their research potential. Doctoral or Postdoctoral Thesis kola peninsula North-West Russia University of Tromsø: Munin Open Research Archive Kola Peninsula Monchegorsk ENVELOPE(32.874,32.874,67.940,67.940) Murmansk |
institution |
Open Polar |
collection |
University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 VDP::Medical disciplines: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803 VDP::Medisinske Fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Pediatrics: 760 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Pediatri: 760 DOKTOR-003 |
spellingShingle |
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 VDP::Medical disciplines: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803 VDP::Medisinske Fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Pediatrics: 760 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Pediatri: 760 DOKTOR-003 Postoev, Vitaly Alexandrovich Using medical birth registries in the Kola Peninsula for birth defects surveillance and investigation of their risk factors |
topic_facet |
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine Social medicine: 801 VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 VDP::Medical disciplines: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803 VDP::Medisinske Fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Pediatrics: 760 VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Pediatri: 760 DOKTOR-003 |
description |
Medical birth registries are valuable sources of information about maternal and newborn’s health. In North-West Russia the registries were initiated in 1997 in the city of Monchegorsk and for all of Murmansk County in 2005. In this thesis we demonstrated the effectiveness of these data sources for surveillance of birth defects with the following objectives: (i) estimated changes in prevalence of birth defects during forty-year period, (ii) identified effect of ultrasound screening during pregnancy, (iii) defined factors which associated with urinary malformations. Our study with data from 1973 to 2011 showed that the prevalence of birth defects demonstrated a two-fold increase, and the initiation of prenatal ultrasound screening was the most likely reason for such changes. The initiation of the screening was also the main reason for the decline in perinatal mortality among newborns with birth defects, primary due to prenatal detection of severe malformations with subsequent terminations of such pregnancies. Moreover, the mothers who had undergone at least one ultrasound examination during pregnancy had a decreased risk of having a newborn die during the first week of life. Congenital anomalies of the kidney and the urinary tract showed the highest increase in prevalence during 1973-2011. During pregnancy, use of medications, infections, diabetes were associated with increased risk of this group of anomalies, as was conception during summer. The medical birth registries in Murmansk County constitute powerful sources for birth defects surveillance and the investigation of risk factors. Combination of these registries with existed system of monitoring birth defects and mandatory registration of pregnancy terminations can increase their research potential. |
format |
Doctoral or Postdoctoral Thesis |
author |
Postoev, Vitaly Alexandrovich |
author_facet |
Postoev, Vitaly Alexandrovich |
author_sort |
Postoev, Vitaly Alexandrovich |
title |
Using medical birth registries in the Kola Peninsula for birth defects surveillance and investigation of their risk factors |
title_short |
Using medical birth registries in the Kola Peninsula for birth defects surveillance and investigation of their risk factors |
title_full |
Using medical birth registries in the Kola Peninsula for birth defects surveillance and investigation of their risk factors |
title_fullStr |
Using medical birth registries in the Kola Peninsula for birth defects surveillance and investigation of their risk factors |
title_full_unstemmed |
Using medical birth registries in the Kola Peninsula for birth defects surveillance and investigation of their risk factors |
title_sort |
using medical birth registries in the kola peninsula for birth defects surveillance and investigation of their risk factors |
publisher |
UiT The Arctic University of Norway |
publishDate |
2016 |
url |
https://hdl.handle.net/10037/10013 |
long_lat |
ENVELOPE(32.874,32.874,67.940,67.940) |
geographic |
Kola Peninsula Monchegorsk Murmansk |
geographic_facet |
Kola Peninsula Monchegorsk Murmansk |
genre |
kola peninsula North-West Russia |
genre_facet |
kola peninsula North-West Russia |
op_relation |
ISM skriftserie; 171 https://hdl.handle.net/10037/10013 |
op_rights |
openAccess Copyright 2016 The Author(s) |
_version_ |
1766059447791124480 |